Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jump Start Pediatric Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1144494105

Jump Start Pediatric Therapy, LLC is a Physical Therapy Clinic/Center in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 W Haycraft Ave Ste B3
Coeur D Alene, ID 83815-8105
Phone: (208) 664-2468
Fax: (208) 667-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT-2061 (ID)

Record details

NPI number1144494105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellison Sanders — Owner / Physical Therapist · (208) 664-2468
NPI enumeratedApril 21, 2008
Last updated in NPPESJanuary 30, 2012
Mailing address411 W Haycraft Ave, Ste B3, Coeur D Alene, ID 83815-8105

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